- Enrollment id
- O20060504000456
- Enrollment state
- MT
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1609989029
- Multiple npi flag
- N
- Ccn
- 271512
- Associate id
- 5395639793
- Organization name
- CENTRAL MONTANA MEDICAL FACILITIES INC
- Doing business as name
- HOSPICE OF CENTRAL MONTANA
- Incorporation date
- 1969-06-20
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 408 WENDELL AVE
- City
- LEWISTOWN
- State
- MT
- Zip code
- 594572261